| NPI | 1306831961 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: VA 0101237543) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 200700659) |
| 207R00000X Internal Medicine (Licence: NC 2007-00659) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NC 200700659) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NC 2007-00659) | |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2021-01-13 |